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Paravalvular leakage causing hemolytic anemia at 8–9 years after mitral valve replacement

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Abstract

We report two similar cases of women, aged 52 and 71 years, who developed shortness of breath or easy fatigability at 8–9 years after mitral valve replacement of the mitral valve in each patient, the echocardiographic study revealed paravalvular leakage. Previous examination before the appearance of symptoms had revealed a well-functioned prosthetic valve, and no hematological abnormality had been detected. The hemoglobin levels at admission were 6.4 and 6.6 g/dl, and their serum lactate dehydrogenase levels were 5218 and 4608 mU/ml. Each successfully underwent another valve replacement, and after surgery, the hemolytic anemia and the symptoms disappeared.

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Authors and Affiliations

  1. Division of Cardiovascular Surgery, Jichi Medical School, 3311-1 Yakushiji, Minami-Kawachi, 329-0498, Tochigi, Japan

    Yoshio Misawa MD, Hiroaki Konishi MD, Tsutomu Saito MD & Katsuo Fuse MD

Authors
  1. Yoshio Misawa MD
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  2. Hiroaki Konishi MD
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  3. Tsutomu Saito MD
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  4. Katsuo Fuse MD
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Misawa, Y., Konishi, H., Saito, T. et al. Paravalvular leakage causing hemolytic anemia at 8–9 years after mitral valve replacement. Jpn J Thorac Cardiovasc Surg 50, 530–532 (2002). https://doi.org/10.1007/BF02913169

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  • DOI: https://doi.org/10.1007/BF02913169

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